影响养老院痴呆症患者就业照顾者负担的因素：中国横断面研究

IF 2.9 3区医学 Q1 NURSING

International Journal of Nursing Sciences Pub Date : 2024-09-01 DOI:10.1016/j.ijnss.2024.08.005

Caixia Liu , Huiling Zheng , Baiyu Li , Shijia He , Rongrong Hu , Feifei Li , Yao Zheng , Weimin Lou , Biyan Jiang

{"title":"影响养老院痴呆症患者就业照顾者负担的因素：中国横断面研究","authors":"Caixia Liu , Huiling Zheng , Baiyu Li , Shijia He , Rongrong Hu , Feifei Li , Yao Zheng , Weimin Lou , Biyan Jiang","doi":"10.1016/j.ijnss.2024.08.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>The institutionalization of care for patients with dementia is becoming a trend. Understanding the burden on employed caregivers and exploring associated factors are of great importance in practice. Therefore, this study aimed to examine the relationship between basic attributes, caring ability, and caregiver burden in employed caregivers practicing in nursing homes.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 541 employed caregivers in 11 four-star nursing homes in Zhejiang Province from April to December 2022. Caregiver burden was assessed using the Zarit Burden Interview (ZBI). Demographic characteristics of participants, characteristics of the older patients with dementia, caring characteristics, training in dementia care, and caring abilities were collected for analysis of influencing factors. A hierarchical multiple regression analysis was conducted to explore the factors influencing the burden on employed caregivers in nursing homes.</div></div><div><h3>Results</h3><div>The ZBI score of employed caregivers in nursing homes was 40.42 ± 10.18, representing a moderate caregiver burden. Factors such as age (<em>U</em> = 27.82, <em>P</em> < 0.001), residence (<em>U</em> = 7.89, <em>P</em> < 0.001), educational level (<em>H</em> = 55.81, <em>P</em> < 0.001), self-care of older patients with dementia (<em>H</em> = 85.21, <em>P</em> < 0.001), daily care hours (<em>H</em> = 73.25, <em>P</em> < 0.001), number of older people with dementia cared for (<em>H</em> = 14.56, <em>P</em> = 0.012) and training in dementia care (<em>U</em> = −9.43, <em>P</em> < 0.001) were significantly associated with caregiver burden.Caring ability was negatively associated with caregiver burden (<em>r</em> = −0.22, <em>P</em> < 0.01). Furthermore, after controlling for demographic characteristics, the characteristics of older people with dementia, caring characteristics, training in dementia care, and caring ability explained 8.5%, 5.8%, and 4.8% of the caregiver burden, respectively.</div></div><div><h3>Conclusion</h3><div>The burden of employed caregivers on patients with dementia in nursing homes can be attributed to various factors. We recommend tailored interventions, such as dementia care training and reviewing the number and duration of hours worked to reduce the burden experienced by caregivers.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 4","pages":"Pages 457-464"},"PeriodicalIF":2.9000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000796/pdfft?md5=5d6d99a1961f8b5927506caab704b528&pid=1-s2.0-S2352013224000796-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Factors influencing the employed caregiver burden for patients with dementia residing in nursing homes: A cross-sectional study from China\",\"authors\":\"Caixia Liu , Huiling Zheng , Baiyu Li , Shijia He , Rongrong Hu , Feifei Li , Yao Zheng , Weimin Lou , Biyan Jiang\",\"doi\":\"10.1016/j.ijnss.2024.08.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>The institutionalization of care for patients with dementia is becoming a trend. Understanding the burden on employed caregivers and exploring associated factors are of great importance in practice. Therefore, this study aimed to examine the relationship between basic attributes, caring ability, and caregiver burden in employed caregivers practicing in nursing homes.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 541 employed caregivers in 11 four-star nursing homes in Zhejiang Province from April to December 2022. Caregiver burden was assessed using the Zarit Burden Interview (ZBI). Demographic characteristics of participants, characteristics of the older patients with dementia, caring characteristics, training in dementia care, and caring abilities were collected for analysis of influencing factors. A hierarchical multiple regression analysis was conducted to explore the factors influencing the burden on employed caregivers in nursing homes.</div></div><div><h3>Results</h3><div>The ZBI score of employed caregivers in nursing homes was 40.42 ± 10.18, representing a moderate caregiver burden. Factors such as age (<em>U</em> = 27.82, <em>P</em> < 0.001), residence (<em>U</em> = 7.89, <em>P</em> < 0.001), educational level (<em>H</em> = 55.81, <em>P</em> < 0.001), self-care of older patients with dementia (<em>H</em> = 85.21, <em>P</em> < 0.001), daily care hours (<em>H</em> = 73.25, <em>P</em> < 0.001), number of older people with dementia cared for (<em>H</em> = 14.56, <em>P</em> = 0.012) and training in dementia care (<em>U</em> = −9.43, <em>P</em> < 0.001) were significantly associated with caregiver burden.Caring ability was negatively associated with caregiver burden (<em>r</em> = −0.22, <em>P</em> < 0.01). Furthermore, after controlling for demographic characteristics, the characteristics of older people with dementia, caring characteristics, training in dementia care, and caring ability explained 8.5%, 5.8%, and 4.8% of the caregiver burden, respectively.</div></div><div><h3>Conclusion</h3><div>The burden of employed caregivers on patients with dementia in nursing homes can be attributed to various factors. We recommend tailored interventions, such as dementia care training and reviewing the number and duration of hours worked to reduce the burden experienced by caregivers.</div></div>\",\"PeriodicalId\":37848,\"journal\":{\"name\":\"International Journal of Nursing Sciences\",\"volume\":\"11 4\",\"pages\":\"Pages 457-464\"},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2352013224000796/pdfft?md5=5d6d99a1961f8b5927506caab704b528&pid=1-s2.0-S2352013224000796-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Sciences\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2352013224000796\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Sciences","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352013224000796","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

摘要

目的对痴呆症患者进行机构护理已成为一种趋势。了解受雇护理人员的负担并探讨相关因素在实践中具有重要意义。因此，本研究旨在探讨养老院聘用护工的基本属性、护理能力与护工负担之间的关系。方法本横断面研究纳入了 2022 年 4 月至 12 月浙江省 11 家四星级养老院的 541 名聘用护工。采用Zarit负担访谈法（ZBI）评估护理人员的负担。收集了参与者的人口学特征、老年痴呆症患者的特征、护理特征、痴呆症护理培训和护理能力，以分析影响因素。结果养老院受雇照护者的 ZBI 得分为 40.42 ± 10.18，属于中度照护者负担。年龄（U = 27.82，P < 0.001）、居住地（U = 7.89，P < 0.001）、文化程度（H = 55.81，P < 0.001）、老年痴呆患者自理能力（H = 85.21，P < 0.001）、日常护理时间（H = 73.25，P < 0.001）、护理的老年痴呆症患者人数（H = 14.56，P = 0.012）和老年痴呆症护理培训（U = -9.43，P <0.001）与护理者负担显著相关。护理能力与护理者负担呈负相关（r = -0.22，P <0.01）。此外，在控制了人口统计学特征后，痴呆症老年人的特征、护理特征、痴呆症护理培训和护理能力分别解释了护理负担的 8.5%、5.8% 和 4.8%。我们建议采取有针对性的干预措施，如痴呆症护理培训、审查工作时数和持续时间等，以减轻护理人员的负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Factors influencing the employed caregiver burden for patients with dementia residing in nursing homes: A cross-sectional study from China

Objective

The institutionalization of care for patients with dementia is becoming a trend. Understanding the burden on employed caregivers and exploring associated factors are of great importance in practice. Therefore, this study aimed to examine the relationship between basic attributes, caring ability, and caregiver burden in employed caregivers practicing in nursing homes.

Methods

This cross-sectional study included 541 employed caregivers in 11 four-star nursing homes in Zhejiang Province from April to December 2022. Caregiver burden was assessed using the Zarit Burden Interview (ZBI). Demographic characteristics of participants, characteristics of the older patients with dementia, caring characteristics, training in dementia care, and caring abilities were collected for analysis of influencing factors. A hierarchical multiple regression analysis was conducted to explore the factors influencing the burden on employed caregivers in nursing homes.

Results

The ZBI score of employed caregivers in nursing homes was 40.42 ± 10.18, representing a moderate caregiver burden. Factors such as age (U = 27.82, P < 0.001), residence (U = 7.89, P < 0.001), educational level (H = 55.81, P < 0.001), self-care of older patients with dementia (H = 85.21, P < 0.001), daily care hours (H = 73.25, P < 0.001), number of older people with dementia cared for (H = 14.56, P = 0.012) and training in dementia care (U = −9.43, P < 0.001) were significantly associated with caregiver burden.Caring ability was negatively associated with caregiver burden (r = −0.22, P < 0.01). Furthermore, after controlling for demographic characteristics, the characteristics of older people with dementia, caring characteristics, training in dementia care, and caring ability explained 8.5%, 5.8%, and 4.8% of the caregiver burden, respectively.

Conclusion

The burden of employed caregivers on patients with dementia in nursing homes can be attributed to various factors. We recommend tailored interventions, such as dementia care training and reviewing the number and duration of hours worked to reduce the burden experienced by caregivers.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

International Journal of Nursing Sciences Nursing-Nursing (all)

CiteScore

6.10

自引率

2.60%

发文量

408

审稿时长

25 days

期刊介绍： This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.